S11-2 Cooperative planning with coaching elements in childcare centres: a qualitative investigation of childcare directors' perspectives

Abstract Background Interventions to promote health-enhancing physical activity in early childhood education and care settings are most successful when tailored to the specific needs of each childcare centre and providing ongoing support to address context-specific barriers. Our research project therefore initiated organizational development processes in 12 childcare centres in Southern Germany supported by coaching and self-assessment tools. The staff of each centre was instructed to set three centre-specific SMART goals targeting physical activity and to use Goal Attainment Scaling in order to track the success at implementation. This qualitative study aims at exploring childcare centre directors' views on the guided planning process and identifying facilitators and barriers for its implementation. Methods We conducted guided semi-structured interviews with the directors of the centres after the 12- month organizational development process. 9 out of 12 directors were interviewed. The interviews were recorded, transcribed and analysed using qualitative content analysis with inductive category development. Results Childcare directors mainly considered themselves to be the person with the greatest responsibility for the success of the process. The coaching was regarded as helpful for structuring the process, involving the whole team and becoming clearer about goals. Several factors were identified as facilitators: a beneficial personnel situation, the intrinsic motivation of staff, good team cooperation, a high priority of physical activity, previous experience with similar projects, pressure for change, individual drivers, a good infrastructure, parents' support and support from the administrating organization. Reported barriers included team conflicts, lack of willingness to accept change and shortness of time. Conclusions Several contextual and interpersonal factors seem to influence the extent to which a cooperative planning process can be implemented by the staff of a childcare centre. The results help understand the process of change as a complex interventional system in which the intervention cannot be considered separately from the context.


Background
Implementing effective physical activity (PA) interventions into routine practice is challenging once research funds run out, and only a minority of programs are successfully moved from research to practice settings and become embedded in a system. Participatory approaches are seen as a means to overcome this trap and sustainably implement and scale-up programs. This presentation provides methodological and methodological overview of the cooperative planning approach (CP), a participatory method increasingly used in PA promotion in the last years.

Methods
We reviewed the literature to trace the origins of the CP approach, outline its basic theoretical foundations, and summarize its central components and procedures. In addition, we compiled a structured overview of previous CP projects to highlight potential application contexts of the approach. Building on the results of a scoping review, we position the CP method within the body of existing participatory approaches based on Arnstein's ladder of participation.

Results
From a theoretical point of view, CP can be traced to the literature on knowledge co-creation and participatory research. It bears conceptual similarities with various organizationbased planning methods. There are several distinctive characteristics that set it apart, including (a) the heterogeneity and expertise of participants, (b) a specific process sequence, (c) key success indicators, and (d) structured outputs. Variations of the approach have been successfully employed in sports development and physical activity promotion for target groups across the life-course. Positioning CP within the universe of existing approaches shows that it offers comparatively high levels of participation, is focused on later stages of the implementation process, and is well-suited to be combined with other methods of participation (e.g. citizen science).

Conclusions
The CP approach constitutes an alternative to existing knowledge co-creation and participatory approaches that may help overcome the problem of the pilot project trap. It can be easily adapted to different contexts but is especially suitable for settings where the development of specific measures for PA promotion is required. However, a successful implementation of the CP process depends on a number of Abstract citation ID: ckac093.056 S11-2 Cooperative planning with coaching elements in childcare centres: a qualitative investigation of childcare directors' perspectives Christina Mü ller 1 1 Institut fü r angewandte Gesundheitswissenschaften, Coburg University of Applied Sciences and Arts, Coburg, Germany Corresponding author: christina.mueller@uni-wuerzburg.de

Background
Interventions to promote health-enhancing physical activity in early childhood education and care settings are most successful when tailored to the specific needs of each childcare centre and providing ongoing support to address context-specific barriers. Our research project therefore initiated organizational development processes in 12 childcare centres in Southern Germany supported by coaching and self-assessment tools. The staff of each centre was instructed to set three centre-specific SMART goals targeting physical activity and to use Goal Attainment Scaling in order to track the success at implementation. This qualitative study aims at exploring childcare centre directors' views on the guided planning process and identifying facilitators and barriers for its implementation.

Methods
We conducted guided semi-structured interviews with the directors of the centres after the 12-month organizational development process. 9 out of 12 directors were interviewed. The interviews were recorded, transcribed and analysed using qualitative content analysis with inductive category development.

Results
Childcare directors mainly considered themselves to be the person with the greatest responsibility for the success of the process. The coaching was regarded as helpful for structuring the process, involving the whole team and becoming clearer about goals. Several factors were identified as facilitators: a beneficial personnel situation, the intrinsic motivation of staff, good team cooperation, a high priority of physical activity, previous experience with similar projects, pressure for change, individual drivers, a good infrastructure, parents' support and support from the administrating organization. Reported barriers included team conflicts, lack of willingness to accept change and shortness of time.

Conclusions
Several contextual and interpersonal factors seem to influence the extent to which a cooperative planning process can be implemented by the staff of a childcare centre. The results help

Background
Recently, the German Federal Ministry of Health has provided funding aimed at the sustainable implementation of the National Recommendations for Physical Activity and Physical Activity Promotion in German municipalities. This presentation reports on an ongoing project that employs a participatory action model for population-based physical activity (PA) promotion in these municipalities and gives insights into realworld experiences made during project implementation. Methods Using a participatory approach, an action model for PA promotion was developed in collaboration with 64 nationwide stakeholders (Phase I). Based on systematic criteria and in cooperation with the Federal Centre for Health Education (BzGA) and the German Statutory Health Insurance (GKV), three rural districts and three cities were then selected as pilot municipalities. In phase II, the action model was implemented in these six communities. Implementation steps included (1) preparation, (2) assessment, and (3) setting up a steering committee and a cooperative planning group in all commu-Abstract citation ID: ckac093.058 S11-4 Participatory physical activity promotion in senior residencies Dorothee Altmeier 1 1 Institut fü r Sportwissenschaft, Universitä t Tü bingen, Tü bingen, Germany Corresponding author: dorothee.altmeier@uni-tuebingen.de

Background
During their final life decade, people in Germany tend to live in senior residences or nursing homes. Re-location to such institutionalized homes is associated with declining levels of physical activity. Beside intrapersonal factors, like dealing with illness, social and physical environments might be decisive in shaping residents' physical activity levels. At the same time, it remains largely underresearched what residents themselves perceive as barriers and promoters of physical activity. This presentation aims to introduce first results of BaSAlt (BMG, 2019(BMG, -2022, a participatory research project on physical activity promotion in senior residences in Germany.

Methods
We draw upon data from the BaSAlt study (2019)(2020)(2021)(2022) in eight German senior residences, generated using Photovoice with 48 residents, staff, and visitors, as well as semi-structured interviews (n = 24), group discussions (n = 8), cooperative planning in future workshops (n = 16) and document analysis. Recorded and transcribed interviews, photos, discussions, as well as documents are subject to thematic analysis (Braun & Clarke 2016). All participating actors become part of data collection, and analysis, as well as in developing and implementing change projects to promote physical activity informed by findings.

Results
The presentation will highlight similarities and differences in participants' perceptions of physical activity-related promoters and barriers. We will present a preliminary comparative assessment of the organizational readiness in participating senior residences and potential consequences for cooperative planning in future workshops. Our aim is to initiate concrete action to improve physical activity promotion.

Conclusions
The BaSAlt design recognizes residents, staff, and visitors as experts of their own lives, which allows for greater awareness of people's unique experiences and perceptions. The participatory approach used both for data collection and intervention We observed and systematically described a real-life phenomenon in a German research project, which saw project researchers actively moving into practice to familiarize themselves with the setting and the target group (ranging, e.g., from guided factory tours in a manufacturing plant to